Abstract
Cardiac chamber size and function indices were studied repeatedly over the first months of life in two groups of babies, born either spontaneously or by caesarian section under peridural anaesthesia.
For cardiac chamber size, no significant differences were found between the two groups: cardiac structures increased in size as a linear function of age and weight in all babies. Right ventricular systolic time interval ratios, however, were higher at birth in babies born by caesarian section, and dropped more rapidly during the first 24 h. The decrease of RV systolic time interval ratios followed a parabolic function for both groups, thus reflecting the physiological decrease of pulmonary vascular resistance after birth. The possible causes of more rapid decrease in pulmonary vascular resistance in babies born by caesarian section is discussed.
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References
Dawes GS (1968/69) Foetal and neonatal physiology. Year Book, Medical Publishers, pp 75–90, 160–176
Emmonouilides GC, Moss AJ, Duffie ER, Adams FH (1964) Pulmonary arterial pressure changes in human newborn infants from birth to 3 days of age. J Pediatr 65:327
Feigenbaum H (1976) Echocardiography, 2nd edn. Lea and Febiger, Philadelphia
Gamulin S (1979) Anesthésie péridurale en obstétrique. Thèse, Université de Genève
Gutgesell HP, Paquet M, Duff DF, McNamara D (1977) Evaluation of left ventricular size and function by echocardiography. Circulation 56:457
Gutgesell HP, Pinsky WW, Duff DF, Adams J, McNamara DG (1979) Left and right ventricular systolic time intervals in the newborn. Br Heart J 42:27
Hagan AD, Deely WJ, Sahn DJ, Friedmann WF (1973) Echocardiographic criteria for normal newborn infants. Circulation 48:1221
Halliday H, Hirschfeld St, Riggs Th, Liebman J, Fanaroff A (1978) Echographic ventricular systolic time intervals in normal term and preterm neonates. Pediatrics 62:317
Halliday H, Hirschfeld St, Riggs Th, Liebman J, Fanaroff A, Bormuth C (1977) Respiratory distress syndrome. Echocardiographic assessment of cardiovascular function and pulmonary vascular resistance. Pediatrics 60:444
Hirschfeld St, Meyer RA, Schwartz DD, Korfhagen J, Kaplan S (1975) Measurements of right and left ventricular systolic time intervals by echocardiography. Circulation 51: 304
Hirschfeld St, Meyer RA, Schwartz DD, Korfhagen J, Kaplan S (1975) The echocardiographic assessment of pulmonary artery pressure and pulmonary vascular resistance. Circulation 52:642
Lundstroem N (1974) Clinical application of echocardiography in infants and children. Acta Paediat Scand [Suppl] 5:243
Meyer RA (1977) Pediatric echocardiography. Lea and Febiger, Philadelphia
Oberhänsli I, Brandon G, Lacourt G, Friedli B (1980) Growth patterns of cardiac structures and changes in systolic time intervals in the newborn and infant. Acta Paediat Scand 69:239
Polgar G, Lacourt G (unpublished data)
Ralston DH, Shnider SM (1978) The fetal and neonatal effects of regional anesthesia in obstetrics. Anesthesiology 48:34
Riggs T, Hirschfeld S, Bormuth C, Fanaroff A, Liebman J (1977) Neonatal circulatory changes. An echo study. Pediatrics 59:338
Rogé CL, Silverman NH, Hart PA, Ray RM (1978) Cardiac structure growth pattern determined by echocardiography. Circulation 57:285
Rudolph AM (1974) Congenital diseases of the heart. Year Book, Medical Publishers, pp 1–48
Rudolph AM, Auld PM, Golinko RJ, Paul MH (1961) Pulmonary vascular adjustment in the neonatal period. Pediatrics 28:289
Sahn DJ, Deely WJ, Hagan AD, Friedmann WF (1974) Echocardiographic assessment of left ventricular performance in normal newborns. Circulation 49:232
Sahn DJ, De Maria A, Kisslo J, Weyman A (1978) Recommendations regarding quantitation in M-mode echocardiography. Circulation 58:1072
Shnider SM (1974) Experience with regional anesthesia for vaginal delivery. In: Shnider SM, Moya R (eds) The anesthesiologist, mother and newborn. Williams and Wilkins, Baltimore, p 38
Shnider SM, Way EL (1968) Plasma levels of Lidocaine in mother and newborn following obstetrical conduction anesthesia: Clinical application. Anesthesiology 29:951
Solinger R, Elbl F, Minhas K (1973) Echocardiography in the normal neonate. Circulation 47:108
Spitaels S, Arbogast R, Fouron JC, Davignon A (1974) The influence of heart rate and age on the systolic and diastolic time intervals in children. Circulation 49:1107
Statistics of the social sciences adapted to the MUMPS system, 2nd edn. WL Hays Holt (ed). Rinehart and Winston
Wingate MB, Wingate L, Iffy L, Freundlich H, Gottsegen D (1974) The effect of epidural analgesia upon fetal and neonatal status. Am J Obstet Gynecol 119:1101
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This work is dedicated to Professor A. Prader on the occasion of this 60th birthday
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Oberhänsli, I., Brandon, G. & Friedli, B. Echocardiographic changes of cardiac structures and LV function in newborns. Eur J Pediatr 137, 295–302 (1981). https://doi.org/10.1007/BF00443261
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DOI: https://doi.org/10.1007/BF00443261